Volume 17, Issue 5 , Pages 626-630, September 2010
Wound Retraction System for Isobaric Laparoendoscopic Single-Site Surgery to Treat Adnexal Tumors: Pilot Study
Abstract
Transumbilical laparoendoscopic single-site (LESS) surgery is a recent advancement in minimally invasive surgery. However, this procedure usually requires a specialized multichannel port for introducing the laparoscope and instruments under pneumoperitoneum. In an isobaric procedure, a wound retractor alone can conveniently be used for transumbilical single-site access. Fourteen isobaric LESS adnexal surgeries including 1 emergency procedure with adnexal torsion were performed using multiple instruments inserted through the wound retractor. No extraumbilical incisions or conversion to standard multiple-port laparoscopic surgery were required. Port-related complications were not noted, and the cosmetic results were excellent. A wound retractor offers safe and reliable access for isobaric LESS adnexal surgery as an alternative to the current specialized port systems.
Keywords: Adnexal tumor, Isobaric laparoscopy, Laparoendoscopic single-site surgery, Wound retractor
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The authors have no commercial, proprietary, or financial interest in the products or companies described in this article.
PII: S1553-4650(10)00079-8
doi:10.1016/j.jmig.2010.02.003
© 2010 AAGL. Published by Elsevier Inc. All rights reserved.
Volume 17, Issue 5 , Pages 626-630, September 2010
